Taeja Broadwater, PA-C
NPI 1114152329ActiveIndividual· Physician Assistant, Surgical· Danville, PA
Physician Assistant, Surgical (PA-C) with Carbon Health Medical Group of Florida PA, practicing in Danville, Pennsylvania. Enrolled in Medicare as practitioner - physician assistant. Abbvie Inc. reported $24.68 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1114152329 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | May 18, 2009 |
| Last updated in NPPES | Sep 27, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | MAO55689 | PA |
| Registered Nurse, Medical-Surgical | 163WM0705X | R185137 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (TX) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Carbon Health Medical Group of Florida PAPuyallup, WA · 56 clinicians
Industry payments (Open Payments)
- 2025$24.68 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $24.68 | 1 |
What the 2025 payments were for
- Food and Beverage$24.68 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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